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JUIi ki0 111J kjoiaua nTTur-u43 frac• tcuZ)3 t0'T-Uttr Iv, 0 <br /> h]oaitcrin>;gysEetn certificatintt <br /> Site Address: ._. <br /> F. In-l'ank 4:laatging/ :SIR r,quipitnent: ZJ3 <br /> Check tltiq box i riank gallginb is used only for inventory control. <br /> C'hcck this bux :"no tank gau.-tnp,or SIR equtpmcnt is insmllcd. <br /> This section must be completed if in tatlk t-uRiging,c:tuiprlleltt is used Li. perform Ic:lk detection monitoring. <br /> complets the following checklist: <br /> I input wiring been inspected for proper entry and terntirlati0n, Including Les <br /> C1 yes Cl No' Has altiny for ground faults? <br /> C3 Yes CZ No' Were all tank gauging probes visually inspected for drunagc ar.d resider•truildup'?— � <br /> ❑ Yes ❑ No' Was nccuritCy nt Systcnl producl level readings tested'? <br /> ❑ Yes ❑ No' Was accuracy of symew water level readings tested'' <br /> Q Yes ❑ No'' Were all probes re instal leu pmperly" <br /> ® Yes U No" Werti alf items n+t the eyuiptnent mvnlfrcturcr's rnainteoincc;:hecklisl c'+rlplttcd't <br /> "' 181 The—Section 1{,below, describe how 11111 svltta these ttcfi:iCucies wcrc ur wit;1 lie corrected. <br /> G. Lane L esk Detectors (LLD)' ❑ C'licck this hex if LIM',nrc not installed. <br /> Conj4etc dht:fol{owin>q checklist: <br /> Yes D No* For equipment stunt-up ar annum cduipment c (if'cation, u as a leak simulated to verify LLD performstrtcc^ <br /> ❑ NIA (Cl���k 0;/fttat aprtF) Sllill'l 1lCl! l,.I, ;nt : 3 �.�.1,.; ❑o.� <br /> KCS;— <br /> : <br /> 0 No' `yCre al! l.l,D.confirmed upera:ianal and accurate within regulatory requiremcnt�? <br /> tLJNo* Was the testing ttppflrotus properly calibrated'? <br /> ` For mechanical LLLls,docs the L1.1)restrict pr,)duct flow if i',detects n Icak'?A <br /> ❑ Yes a* For electronic LLD-,,(lots til:turbine aut0M,1(iCaIlY shut off I; the I'I'D GCtccls i leak?A <br /> Q Yes © o• For elcelronlc LLt)s.Jcres the t•trbine aulomatically N11111,off i( t1n j p{>niot+ of the morttoring system is disabled <br /> N/A or disconnected? _- — — --�---� <br /> Cl Yes ❑ No• <br /> For electronic l,l,l�s, docs thtr lurbiuc .0+tentaiienliy shut u1T If ally psl"tion Vf the monitoring system <br /> 2NJA malfunctions or fails a testi _ <br /> ❑ Yes Q o+ For elet:tronic I,I,Ds, have all ccctisihic wining eunncclians Leen vtsul+!ly mspeCtod'l <br /> NfA �.—_�---- - <br /> ty4s Q No" �lerc ah Berns tat the equipntcnt n',anulaCturcr':maintenance checklist completed? <br /> * <br /> In the Section H, bolo+v,describe how rind.vlten these deficiencies wcrc or w ill be currceird. <br /> . Comments: _ -- -- --- --- --— <br />